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1043645310
GERRY ANN KING
COLUMBIA, MO
NPI
1043645310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-09-05
Last Update Date
2013-09-05
Business Address
-- GERRY ANN KING CRADC
1301 VANDIVER DR SUITE Y
COLUMBIA, MO 65202-3900
Phone number: 816-401-1310
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Mailing Address
-- GERRY ANN KING CRADC
1301 VANDIVER SUITE Y
COLUMBIA, MO 65202
Phone number: 816-401-1310
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